Abstract
Aberrant right subclavian artery (ARSA) is asymptomatic in most cases. This variant anatomy can cause dysphagia in elderly patients. Impaction of foreign body in the esophagus is rarely the presenting symptom of ARSA. We present an eighty four years old patient who first presented with esophageal foreign body impaction and was diagnosed with an aberrant right subclavian artery compressing the esophagus just below the site of impaction.We assume that the exact place of impaction was not incidental and that a relative narrowing of the esophagus caused by the vascular anomaly is responsible for this specific presentation.
Highlights
In 1794, David Byaford, a young surgeon accidentally discovered an anomalous origin of right subclavian artery in a post mortem study of a 62 years old patient who suffered prolonged dysphagia
The term “dysphagia lusoria“ is used to describe dysphagia which originates from extrinsic compression of the esophagus from any vascular anomaly of the aortic arch mostly from aberrant right subclavian artery [1]
We present a case of an elderly patient with aberrant right subclavian artery diagnosed when the patient presented with esophageal foreign body impacted above the
Summary
In 1794, David Byaford, a young surgeon accidentally discovered an anomalous origin of right subclavian artery in a post mortem study of a 62 years old patient who suffered prolonged dysphagia. He coined the term “lusus naturae“ which means “a freak of nature“. Case presentation An eighty four years old patient was transferred to our emergency department complaining of recent onset dysphagia and odinophagia after accidentally swallowing her prosthetic teeth Both firm and flexible esophagoscopy done in the referring institute failed in retrieving the foreign body out.
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